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Quality of Life in Children With Psychiatric Disorders and Parental Well-being: Effects of Group CBT

Not Applicable
Completed
Conditions
Quality of Life
Interventions
Behavioral: TAU
Behavioral: Friends program
Registration Number
NCT05808114
Lead Sponsor
Helsinki University Central Hospital
Brief Summary

This study examines the immediate and long-term effectiveness of a group cognitive behavioral therapy intervention (GCBT) in improving health-related quality of life (HRQOL) in children treated for mixed psychiatric disorders in naturalistic child psychiatric outpatient settings. The effects of a treatment-as-usual condition (TAU) is also examined. Further, the study aims to explore the associations among children´s HRQOL dimensions and parental well-being, and how GCBT may influence these associations.

Detailed Description

The effectiveness of GCBT and TAU at the different time points are measured using nonparametric tests, such as Friedman tests and Wilcoxon tests. The associations among children´s HRQOL dimensions and parental well-being variables at different time points are explored using a network analysis approach.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
109
Inclusion Criteria
  • child psychiatric outpatient care
  • sufficient skills to participate in group sessions
Exclusion Criteria
  • child psychiatric inpatient care
  • acute suicidality
  • excessive physical aggression

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treatment as UsualTAUA TAU condition during which participants received routine care services tailored to each child individually.
Group cognitive behavioral therapyFriends programFriends Program
Primary Outcome Measures
NameTimeMethod
Changes in self-and parent-rated health-related quality of life after the group cognitive behavior therapy (GCBT) interventionBefore and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up

Children´s health-related quality of life measured using the KINDL-R measure, total scores range from 0-100 with higher scores indicating better health-related quality of life

Changes in self-and parent-rated health-related quality of life after treatment as usual (TAU)Before and after TAU (duration circa 3.2 months)

Children´s health-related quality of life measured using the KINDL-R measure, total scores range from 0-100 with higher scores indicating better health-related quality of life

Secondary Outcome Measures
NameTimeMethod
Associations among children´s HRQOL and parental well-being dimensions (parental psychological distress)Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up

Parental psychological distress measured using five items of the 12-item General Health Questionnaire. The sum of the items range from 5-20 with higher scores indicating greater psychological distress

Associations among children´s health-related quality of life and parental well-being dimensionsBefore and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up

Children´s health-related quality of life measured using the KINDL-R measure, total scores range from 0-100 with higher scores indicating better health-related quality of life

Associations among children´s HRQOL and parental well-being dimensions (parental sleep disturbance)Before and after the group cognitive behavioral intervention (duration from pre-GCBT to post-GCBT circa 4.7 months), and at a 7-month follow-up

Parental sleep disturbance measured using the four- item Jenkins Sleep Questionnaire. Scores range from 0-20 with higher scores indicating greater sleep disturbance

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